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CAPS Kindergarten Enrollment for Fall 2023
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* Indicates required question
Legal Student Last Name
*
Your answer
Legal Student First Name
*
Your answer
Legal Student Middle Name
Your answer
Physical Street Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Mailing Street Address (if different)
Your answer
Mailing Address City
Your answer
Mailing Address Zip Code
Your answer
Is your family currently experiencing transition with regards to permanent stable housing?
*
Yes
No
If yes, please indicate which of the following applies:
Shelter
Temporary Housing
Living with family/friends
Motel/Hotel
Unsheltered
Other:
Primary Phone Number
Your answer
Alternate Phone Number
Your answer
Gender
*
Female
Male
Birth Date
*
MM
/
DD
/
YYYY
County of Residence
*
Your answer
School District of Residence
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Your answer
What was your child’s primary form of care in the last year?
*
Choose
GSRP Great Start Readiness Program (State funded program age 4 by Sept 1st)
Headstart (Federally funded program ages 3 & 4)
Early Childhood Special Education Classroom (Operated through the ISD for children with an IEP)
Child Care-Home Based (Operated out of a private home)
Private Child Care Center (Commercial business that may be independent or part of a chain)
Tuition-Based Preschool (Full or half day of instruction and learning)
No Prior Care Program (Stay at home for care)
Young Fives/Developmental Kindergarten (Plan is for child to attend regular Kindergarten next year)
Kindergarten (Child has been retained for a second year of kindergarten)
Other
Are you interested in Junior Kindergarten?
*
Yes
No
If yes, identify why you are interested.
Birth date
No previous school experience
Other:
Will your child require CAPS transportation services?
*
Yes
No
What is your child's race? (select all that apply)
*
American Indian/Alaskan Native
Asian
Black/African American
White
Native Hawaiian/Pacific Islander
Hispanic/Latino
Two or more races
Required
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